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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

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Effectiveness of Timely Implementation of Palliative Care on the Well-Being of Patients With Chronic Heart Failure: A

Lu Pan1, Li Qiao2, Yuzhe Zhang3

  • 1Department of Geriatrics, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.

Journal of Palliative Care
|June 26, 2023
PubMed

Insights

Palliative care (PC) significantly improves quality of life and cardiac function in chronic heart failure (HF) patients, especially those with NYHA class II or III. Early PC intervention is beneficial for NYHA class II patients.

Area of Science:

  • Cardiology
  • Palliative Care

Background:

  • Lack of consensus on timely palliative care (PC) implementation for chronic heart failure (HF).
  • Need to determine optimal timing for PC intervention in HF patients across different cardiac function classes.

Purpose of the Study:

  • Investigate the impact of primary PC intervention on chronic HF patients.
  • Identify the proper time point for implementing primary PC intervention based on cardiac function.

Main Methods:

  • 180 chronic HF patients (NYHA class I-III) were randomized into usual care (UC) or PC intervention groups.
  • Evaluated quality of life (QoL), left ventricular ejection fraction, and N-terminal pro-B-type natriuretic peptide over 24 weeks.

Main Results:

  • PC intervention group showed significantly improved QoL and cardiac function compared to UC.
  • NYHA class II and III patients in the PC group experienced significant improvements.
  • No significant difference was observed in NYHA class I patients between groups.

Conclusions:

  • Palliative care programs effectively enhance QoL and cardiac function in chronic HF.
  • Evidence supports timely PC referral for NYHA class II patients for optimal benefit.

Keywords:
cardiac functionchronic heart failurepalliative carepsychometric propertyquality of life

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